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The investigators have shown in two short-term studies in healthy, young participants that the combined supplementation of inorganic nitrate with vitamin C has beneficial effects on blood pressure and blood vessel wall stiffness. However, the effects of the combined supplementation have not been tested in individuals at greater cardiovascular disease risk. The investigators would like to show whether inorganic nitrate and vitamin C will produce greater effects on blood pressure and endothelial function when compared to inorganic nitrate alone versus the placebo treatment in people at greater risk of cardiovascular disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo beetroot juice and tablet |
|
| Beetroot juice + Vitamin C | Experimental | Beetroot juice and Vitamin C |
|
| Beetroot juice + placebo | Experimental | Beetroot juice + placebo tablet |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beetroot juice plus vitamin C tablet | Dietary Supplement | Concentrated beetroot juice (70 ml in the morning before breakfast and 70 ml in the evening before dinner) plus Vitamin C tablets (500mg/tablet) |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Resting diastolic and systolic blood pressure using portable automated monitor | Pre, 24 hours, 48 hours and 72 hours after supplementation |
| Cardiac function | Resting cardiac function using a non-invasive methodology (Finometer) | Pre and post 3 days of supplementation |
| Measure | Description | Time Frame |
|---|---|---|
| Flow-mediated dilation | Assess endothelial function through changes in brachial artery diameter in response to reactive hyperaemia using high-resolution B-mode ultrasound. | Pre and post 3 days of supplementation |
| Saliva nitrate concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| David Greenfield Human Physiology Lab, Queens Medical Centre | Nottingham | Nottinghamshire | NG7 2UH | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17353456 | Background | Deanfield JE, Halcox JP, Rabelink TJ. Endothelial function and dysfunction: testing and clinical relevance. Circulation. 2007 Mar 13;115(10):1285-95. doi: 10.1161/CIRCULATIONAHA.106.652859. No abstract available. | |
| 20306272 | Background | Forstermann U. Nitric oxide and oxidative stress in vascular disease. Pflugers Arch. 2010 May;459(6):923-39. doi: 10.1007/s00424-010-0808-2. Epub 2010 Mar 21. |
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| Beetroot juice plus placebo tablet | Dietary Supplement | Concentrated beetroot juice (70ml in the morning and 70 ml in the evening) plus placebo tablets (containing 500 mg of the non-nutritive sweetener aspartame) |
|
| Nitrate-depleted beetroot juice plus placebo tablet | Dietary Supplement | nitrate-depleted beetroot juice (70ml in the morning and 70 ml in the evening) plus placebo tablets (containing 500 mg of the non-nutritive sweetener aspartame) |
|
Colorimetric assays based on the Griess reaction will be used to measure nitrate concentration in saliva samples
| Pre and post 3 days supplementation |
| Urinary nitrate concentration | Colorimetric assays based on the Griess reaction will be used to measure nitrate concentration in urine samples | Pre and post 3 days supplementation |
| Saliva nitrite concentration | Colorimetric assays based on the Griess reaction will be used to measure nitrite concentration in saliva samples | Pre and post 3 days supplementation |
| Urine vitamin C concentration | A colorimetric assay kit will be used to measure vitamin C in urine samples | Pre and post 3 days supplementation |
| Urine 8-isoprastane concentration | An Enzyme Linked Immuosorbant assay will be used to determine 8-isoprostane concentrations in urine. | Pre and post 3 days supplementation |
| 21284528 | Background | Gori T, Munzel T. Oxidative stress and endothelial dysfunction: therapeutic implications. Ann Med. 2011 Jun;43(4):259-72. doi: 10.3109/07853890.2010.543920. Epub 2011 Feb 1. |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D001205 | Ascorbic Acid |
| ID | Term |
|---|---|
| D013400 | Sugar Acids |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D006880 | Hydroxy Acids |
| D002241 | Carbohydrates |
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